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Effectiveness of family and caregiver interventions on patient outcomes among adults with cancer or memory-related disorders : a systematic review

Griffin, Joan, author
Quality Enhancement Research Initiative (US)
Minneapolis VA Health Care System (US) VA Evidence Synthesis Program, author
United States Department of Veterans Affairs Health Services Research and Development Service, issuing body
Effectiveness of family and caregiver interventions on patient outcomes among adults with cancer or memory-related disorders : a systematic review / principal investigator, Joan M. Griffin ; co-investigator, Laura Meis; research asssociates, Maureen Carlyle, Nancy Greer, Anges Jensen, Roderick MacDonald, Indulis Rutks.
Evidence-based synthesis program
Country of Publication:
United States
Washington, DC : Department of Veterans Affairs, Health Services Research & Development Services, [2013]
1 online resource (1 PDF file (iv, 215 pages))
Electronic Links:
Two federal laws have been signed in the last five years that have expanded the Veterans Health Administration's (VHA) authority to provide services to families of Veterans. This expansion allows the VHA to provide a number of clinical and support services, training, and education to families and caregivers of patients with service connected and non-service connected injuries or conditions. The VHA has responded by initiating a set of support services, including counseling, a caregiver support line, and website, to support families and caregivers of Veterans. With this new authorization, there is now the potential to adopt or integrate additional family-involved interventions to improve Veterans' outcomes. This review's aim was to evaluate which interventions are efficacious in affecting patient outcomes for memory-related disorders or cancer. Family and caregiver interventions, especially interventions targeted to caregivers caring for someone with a physical health condition, typically aim to develop caregiver skills to manage their caregiving tasks and to reduce caregiver burden. An often implicit assumption in these interventions is that by reducing caregiver burden and improving caregiver skills, the care recipient will also benefit. Reflecting this, the majority of family-focused intervention studies and reviews of these studies have concentrated only on family or caregiver outcomes. We conducted a systematic review of interventions that explicitly tested this assumption. We evaluated the published evidence assessing whether family involved interventions improve patient outcomes (i.e., efficacy) and whether specific family involved interventions are better than alternative ones (i.e., specificity or comparative effectiveness). We specifically examined the effects of family-involved interventions on the patients, not on the family members. We assessed if there is evidence that interventions targeted at family members only or both family members and adult care recipients improve the patients' outcomes. We limited our focus to family members caring for those with cancer and memory-related conditions since the majority of studies examine one of these two conditions. This project was nominated by Sonja Batten, PhD, Office of Mental Health Services. The key questions and scope were refined with input from a technical expert panel.
Home Nursing
Outcome Assessment (Health Care)
United States
Veterans Health*
Publication Type(s):
Title from PDF cover.
"April 2013."
Includes bibliographical references.
Prepared for: Department of Veterans Affairs, Veterans Health Administration, Quality Enhancement Research Initiative, Health Services Research & Development Service, Washington, DC 20420. Prepared by: Evidence-based Synthesis Program (ESP) Center, Minneapolis VA Medical Center, Minneapolis, MN, Timothy J. Wilt, M.D., M.P.H., Director.
Description based on version viewed November 13, 2013.
101614158 [Electronic Resource]

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